Insurance Authorization Specialist

Who We Are

CI Pediatric Therapy Centers is a comprehensive pediatric therapy center, with multiple clinic locations in the Madison, Wisconsin area. CI's interdisciplinary therapy team focuses on the unique needs of each child. Our state-of-the-art facility, dedicated team members, and supportive environment allow our patients to reach their maximum potential.  CI is a fast-paced company with opportunities for growth and professional development. 

CI's 18 year reputation in the community is second to none. As the largest pediatric therapy providers in Wisconsin, we provide access to the most relevant research and programs in the country. Our community clinic model allows for a collaborative, supportive and FUN work environment. We are proud to be identified as one of Madison's "Top Workplaces" two years in a row and we continue to improve our employee experience year after year!

We take pride in forward thinking, going the extra mile for our patients, and providing an innovative and accepting environment. We are seeking a positive, hard-working, self-starter to join our growing Billing team!

What You'll Do

• Enter requests for Prior Authorizations 
• Verify patient eligibility with health insurance provider
• Communicate directly with families about benefits, visit limits, etc. to help the family maximize their benefit
• Code services/procedures appropriately 
• Obtain and provide requests and documentation to determine patient coverage and approval
• Confidentially handle all private health information   
• Track and record patient visits to ensure they do not go over the maximum allowed benefit. contacting families in regards to visit limits. 
• Communicate visit limits with other members of the Child's team (ie: therapists and CMs) to assist them through the remaining visits.
• General customer service with patients by phone, email and in person
• Completes work within authorized time to assure compliance within departmental standards
• Engages in clinic and discipline/department activities, such as clinic or team meetings, discipline meetings and staff training days as applicable.
• Uphold CI Missions and values and follows CI policies & procedures as outlined in the employee handbook, processes manuals, and other internal documents/forms of communication.
• Maintain a clean and functional work space(s).
• Other duties as assigned

What You'll Need To Be Successful

• Required Skills:
  • Excellent time management and attention to detail
  • Strong, professional and adaptable communication skills 
  • Collaborative when appropriate, yet able to independently complete responsibilities
  • Flexible in a fast-paced environment
  • Solution focused mindset 
• Knowledge of reimbursement practices, medical termination and health insurance
• Experience with using medical billing software
• Efficient problem solving and critical thinking skills, with the ability to conduct research and identify steps required to resolve issues and follow through to completion
• Demonstrate continued dedication to CI, position expectations, and team members.
• Maintain an up to date CPR certification.
• Energized by helping people and seeing the positive impact of your efforts
• Working knowledge of procedure and diagnosis coding
• This position takes patience and determination along with empathy and the drive to want to help the families get what is best for their child.

Working Conditions

• Clinic/office setting: Ability to work up to 20% of work week from home
• Occasional travel required 
• Working Hours generally fall between 8am-6pm, Monday-Friday.
• Full-time only
• Physical Requirements:
  • Must be able to move individuals and equipment weighing up to 25 pounds.
  • Must be physically able to work around small children including sitting, standing, running, bending, etc.

Benefits Offered

• Employer sponsored medical, dental, vision, short-term disability, and life Insurance
• Siesta Program! Take a vacation at 3, 6 and 10 years of full-time employment paid by CI!
• 401(k) with generous employer match
• Flexible spending benefits 
• Paid Time Off, paid holidays, and bereavement
• Employee Assistance Program
• Social gatherings and team opportunities (CI tailgate, trivia, summer party, etc)
• Growth and mentorship opportunities
• Paid parental leave
• No weekends or night shifts! 
• Full new hire training program at our training center to fully support, train and welcome new hires to the team!
  

Madison, Wisconsin 

New to the area? Be prepared to fall in love with Madison. As one of America's best college towns, Madison earned top honors as Livability's "Most livable city". Situated between two lakes and with over 200 miles of bike trails, you can go from the beauty of our rural green space to the bustle of our city within minutes. Check out more information about Madison, WI here!